Individual provider Active NPI

Olivia A Valdez, M.D.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1912910464
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G7922 Issued in TX
Practice address
202 Hill Country LN
San Antonio, TX 78232-2906
Phone
(210) 545-3480
Fax
(210) 545-1839
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G7922 TX Primary

Addresses

Primary practice location

202 Hill Country LN
San Antonio, TX 78232-2906

Mailing address

202 Hill Country LN
San Antonio, TX 78232-2906
Phone (210) 545-3480

Other identifiers 2

IdentifierTypeStateIssuer
8308M0OtherTXBLUE CROSS BLUE SHIELD
139518803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130520000738 TX Practitioner - Psychiatry 0941272710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients

Locations

6711 S New Braunfels Ave
Ste 100
San Antonio, TX 78223
Phone (210) 531-7805

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1912910464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HILL COUNTRY LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322906",
            "telephone_number": "210-545-3480",
            "fax_number": "210-545-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HILL COUNTRY LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322906",
            "telephone_number": "210-545-3480",
            "fax_number": "210-545-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "OLIVIA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G7922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8308M0",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139518803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.